Prior Auth Gets Adrenalized and Dangerous Trials in China
Show notes
Friday, August 28, 2026
In today's episode, Alok Patel (@AlokPatelMD) & Adam Rose (@Adjoro) cover Epic bringing prior authorization checks directly into the EHR.
New federal rules will require Medicare Advantage Medicaid and ACA marketplace insurers to support electronic prior authorization APIs by January 1. Epic's Coverage Requirements Discovery shows coverage requirements and documentation needs inside the chart without payer portals or phone calls. They also break down undisclosed deaths in Chinese gene editing trials involving high dose AAV9 vectors and what the delays reveal about safety oversight.
Plus: they discuss the Oura sleep tracking lawsuit and new real world psilocybin data from Oregon and more.
Coverage Timeline:
(00:00) Intro
(01:03) Electronic Prior Auth
(03:41) Gene Editing Deaths
(06:41) Measles Outbreak
(07:23) MyChart Phishing Scam
(08:05) Mediterranean Diet
(08:47) Legal Psilocybin
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